2010
Relationship Between Use of Electronic Health Record Features and Health Care Quality
Poon EG, Wright A, Simon SR, Jenter CA, Kaushal R, Volk LA, Cleary PD, Singer JA, Tumolo AZ, Bates DW. Relationship Between Use of Electronic Health Record Features and Health Care Quality. Medical Care 2010, 48: 203-209. PMID: 20125047, DOI: 10.1097/mlr.0b013e3181c16203.Peer-Reviewed Original ResearchConceptsElectronic health recordsUse of EHRsColon cancer screeningEHR featuresHealth care qualityCancer screeningWomen's healthSignificant associationCare qualityInformation Set (HEDIS) quality measuresElectronic health record featuresHealthcare Effectiveness DataPrimary care physiciansHEDIS quality measuresCancer prevention measuresPhysician practice characteristicsQuality of careGroup scoresCare physiciansHEDIS measuresCancer preventionPractice characteristicsResponse rateHigh-quality healthcareEffectiveness data
2009
Physicians' Use of Key Functions in Electronic Health Records from 2005 to 2007: A Statewide Survey
Simon SR, Soran CS, Kaushal R, Jenter CA, Volk LA, Burdick E, Cleary PD, Orav EJ, Poon EG, Bates DW. Physicians' Use of Key Functions in Electronic Health Records from 2005 to 2007: A Statewide Survey. Journal Of The American Medical Informatics Association 2009, 16: 465-470. PMID: 19390104, PMCID: PMC2705248, DOI: 10.1197/jamia.m3081.Peer-Reviewed Original Research
2008
Electronic health records: Use, barriers and satisfaction among physicians who care for black and Hispanic patients
Jha AK, Bates DW, Jenter C, Orav EJ, Zheng J, Cleary P, Simon SR. Electronic health records: Use, barriers and satisfaction among physicians who care for black and Hispanic patients. Journal Of Evaluation In Clinical Practice 2008, 15: 158-163. PMID: 18759752, DOI: 10.1111/j.1365-2753.2008.00975.x.Peer-Reviewed Original Research
2007
Use of features in electronic health records and health care quality: How are they related?
Poon E, Simon S, Jenter C, Kaushal R, Volk L, Cleary P, Tumolo A, Bates D. Use of features in electronic health records and health care quality: How are they related? AMIA Annual Symposium Proceedings 2007, 1079. PMID: 18694177.Peer-Reviewed Original ResearchPhysicians and Electronic Health Records: A Statewide Survey
Simon SR, Kaushal R, Cleary PD, Jenter CA, Volk LA, Orav EJ, Burdick E, Poon EG, Bates DW. Physicians and Electronic Health Records: A Statewide Survey. JAMA Internal Medicine 2007, 167: 507-512. PMID: 17353500, DOI: 10.1001/archinte.167.5.507.Peer-Reviewed Original ResearchConceptsElectronic health recordsHealth recordsPhysicians' actual useLaboratory test orderingPredictors of useMedical practiceVisit documentationClinical decision supportPhysicians' perceptionsTest orderingEHR usePhysiciansEHR functionsElectronic prescriptionsOrder entryHealth careEHR adoptionSignificant differencesEHR usersLaboratory reportsRandom sampleLow usersPrescription
2006
Correlates of Electronic Health Record Adoption in Office Practices: A Statewide Survey
Simon SR, Kaushal R, Cleary PD, Jenter CA, Volk LA, Poon EG, Orav EJ, Lo HG, Williams DH, Bates DW. Correlates of Electronic Health Record Adoption in Office Practices: A Statewide Survey. Journal Of The American Medical Informatics Association 2006, 14: 110-117. PMID: 17068351, PMCID: PMC2215070, DOI: 10.1197/jamia.m2187.Peer-Reviewed Original ResearchConceptsElectronic health recordsOffice practiceHalf of physiciansHospital-based practiceEHR adoptionElectronic health record adoptionSmall practicesEHR adoption ratesMost physiciansNon-financial barriersResponse rateMedical careMultivariate analysisMore physiciansStratified random sampleMailed surveyPractice sizeEHR usePhysiciansMedical studentsSolo practiceHealth recordsCorrelates of electronic health record adoption in office practices: a statewide survey.
Simon SR, Kaushal R, Cleary PD, Jenter CA, Volk LA, Poon EG, Williams DH, Orav EJ, Bates DW. Correlates of electronic health record adoption in office practices: a statewide survey. AMIA Annual Symposium Proceedings 2006, 2006: 1098. PMID: 17238717, PMCID: PMC1839711.Peer-Reviewed Original Research
2002
Evolving dissatisfaction among primary care physicians.
Landon BE, Aseltine R, Shaul JA, Miller Y, Auerbach BA, Cleary PD. Evolving dissatisfaction among primary care physicians. The American Journal Of Managed Care 2002, 8: 890-901. PMID: 12395957.Peer-Reviewed Original ResearchConceptsPrimary care physiciansCare physiciansCurrent practice situationCare plansLarge health planQuality of careCross-sectional surveyOverall satisfactionChoice of hospitalImportant predictorCare dissatisfactionAdequacy of reimbursementOverall dissatisfactionMultivariable modelPhysician ratingsPhysician satisfactionHealth plansPhysiciansPhysician practicesCarePractice situationsWay physiciansPredictorsHospitalSatisfactionVariation in patient-reported quality among health care organizations.
Solomon LS, Zaslavsky AM, Landon BE, Cleary PD. Variation in patient-reported quality among health care organizations. Medicare & Medicaid Research Review 2002, 23: 85-100. PMID: 12500472, PMCID: PMC4194762.Peer-Reviewed Original Research
2000
Is the Professional Satisfaction of General Internists Associated with Patient Satisfaction?
Haas J, Cook E, Puopolo A, Burstin H, Cleary P, Brennan T. Is the Professional Satisfaction of General Internists Associated with Patient Satisfaction? Journal Of General Internal Medicine 2000, 15: 122-128. PMID: 10672116, PMCID: PMC1495336, DOI: 10.1046/j.1525-1497.2000.02219.x.Peer-Reviewed Original ResearchConceptsRecent physician visitPatients of physiciansPhysician visitsPhysician satisfactionGeneral internal medicine practiceBetter overall health statusOverall satisfactionProfessional satisfactionHealth careInternal medicine practicePatients' overall satisfactionOverall health statusCross-sectional surveyLower overall satisfactionYounger patientsHigher professional satisfactionPatient satisfactionMinority patientsGeneral internistsPhysician professional satisfactionPatientsHealth statusMedicine practicePhysiciansCare
1999
The Consumer Assessment of Health Plan Study (CAHPS) Survey of Children’s Health Care
Homer C, Fowler F, Gallagher P, Shaul J, Uyeda M, Zaslavsky A, Wilson V, Cleary P. The Consumer Assessment of Health Plan Study (CAHPS) Survey of Children’s Health Care. The Joint Commission Journal On Quality And Patient Safety 1999, 25: 369-377. PMID: 10412084, DOI: 10.1016/s1070-3241(16)30452-7.Peer-Reviewed Original ResearchConceptsChild health careOverall carePersonal doctorHealth careHealth Plans Study (CAHPS) surveyConsumer AssessmentHealth care servicesHealth care plansMedical care qualityQuality improvement effortsSpecialty carePediatric careCare plansCare servicesAspects of accessCare qualityInterpersonal careCognitive testingCareImprovement initiativesCore surveyChildrenStrongest correlateNeeds of childrenDoctorsPhysician Experiences With, and Ratings of, Managed Care Organizations in Massachusetts
Williams T, Zaslavsky A, Cleary P. Physician Experiences With, and Ratings of, Managed Care Organizations in Massachusetts. Medical Care 1999, 37: 589-600. PMID: 10386571, DOI: 10.1097/00005650-199906000-00008.Peer-Reviewed Original ResearchMeSH KeywordsAttitude of Health PersonnelEducation, Medical, ContinuingEvaluation Studies as TopicFactor Analysis, StatisticalFemaleHealth Knowledge, Attitudes, PracticeHealth Services ResearchHumansJob SatisfactionMaleManaged Care ProgramsMassachusettsPhysician Incentive PlansPhysiciansProfessional PracticeQuality of Health CareSurveys and QuestionnairesSample allocation for overlapping domains in a physician survey with a limited population
Zaslavsky A, Williams T, Cleary P. Sample allocation for overlapping domains in a physician survey with a limited population. Statistics In Medicine 1999, 18: 935-946. PMID: 10363332, DOI: 10.1002/(sici)1097-0258(19990430)18:8<935::aid-sim86>3.0.co;2-e.Peer-Reviewed Original Research
1995
The influence of socioeconomic status on change in health status after hospitalization
Guadagnoli E, Cleary P, Mcneil B. The influence of socioeconomic status on change in health status after hospitalization. Social Science & Medicine 1995, 40: 1399-1406. PMID: 7638648, DOI: 10.1016/0277-9536(94)00266-v.Peer-Reviewed Original ResearchConceptsHigh-SES patientsHigh-income patientsHealth statusChest painSurgical patientsHospital recordsSocioeconomic statusDaily livingUniversity-affiliated teaching hospitalLow-SES patientsHealth status scoresPatients' hospital recordsWorse health statusHospital dischargeHospital admissionStatus scoreTeaching hospitalInstrumental activitiesPatientsBasic activitiesHospitalizationPainAmount of declineAdmissionVariety of outcomes
1994
ASA Physical Status and Age Predict Morbidity After Three Surgical Procedures
Cullen D, Apolone G, Greenfield S, Guadagnoli E, Cleary P. ASA Physical Status and Age Predict Morbidity After Three Surgical Procedures. Annals Of Surgery 1994, 220: 3-9. PMID: 8024356, PMCID: PMC1234280, DOI: 10.1097/00000658-199407000-00002.Peer-Reviewed Original ResearchMeSH KeywordsAdultAge FactorsAgedAnalysis of VarianceAnesthesiologyCaliforniaCholecystectomyDiagnosis-Related GroupsFemaleFollow-Up StudiesHip ProsthesisHospitals, TeachingHumansLength of StayMaleMassachusettsMiddle AgedMorbidityOffice VisitsPostoperative ComplicationsPrognosisProstatectomySeverity of Illness IndexSocieties, MedicalConceptsLength of stayASA-PS scoreTotal hip replacementComplication rateTransurethral prostatectomySurgical patientsAnesthesiologists physical status scoreLonger LOSPreoperative risk factorsPostoperative complication rateASA physical statusPhysician office visitsHigh complication rateCase-mix differencesAcademic medical centerSelf-administered questionnairePostoperative morbidityCoexistent diseasePhysician visitsSurgical morbidityOffice visitsStatus scoreMedical recordsRisk factorsMedical Center
1992
Some Methodological Lessons for Surveys of Persons With AIDS
Fowler F, Massagli M, Weissman J, Seage G, Cleary P, Epstein A. Some Methodological Lessons for Surveys of Persons With AIDS. Medical Care 1992, 30: 1059-1066. PMID: 1434959, DOI: 10.1097/00005650-199211000-00009.Peer-Reviewed Original Research
1991
Variations in Length of Stay and Outcomes for Six Medical and Surgical Conditions in Massachusetts and California
Cleary P, Greenfield S, Mulley A, Pauker S, Schroeder S, Wexler L, McNeil B. Variations in Length of Stay and Outcomes for Six Medical and Surgical Conditions in Massachusetts and California. JAMA 1991, 266: 73-79. PMID: 2046132, DOI: 10.1001/jama.1991.03470010077034.Peer-Reviewed Original ResearchMeSH KeywordsAdultCaliforniaCholecystectomyComorbidityConsumer BehaviorCoronary Artery BypassFemaleHip ProsthesisHospitals, TeachingHumansLength of StayMaleMassachusettsMyocardial InfarctionOutcome and Process Assessment, Health CareProstatectomySurgical Procedures, OperativeSurveys and QuestionnairesConceptsLength of stayAcute myocardial infarctionHospital dischargeTotal hip replacementMyocardial infarctionFunctional statusPatient satisfactionMedical recordsHospital careCoronary artery bypass graft surgeryHip replacementArtery bypass graft surgeryInterinstitutional differencesBypass graft surgeryProbability of readmissionPatients' medical recordsAvailable outcome dataCase-mix differencesFollow-up questionnaireHospital complicationsGraft surgeryPatient characteristicsTransurethral prostatectomyWorse outcomesSurgical conditionsThe relation between hypochondriasis and age
Barsky A, Frank C, Cleary P, Wyshak G, Klerman G. The relation between hypochondriasis and age. American Journal Of Psychiatry 1991, 148: 923-928. PMID: 2053634, DOI: 10.1176/ajp.148.7.923.Peer-Reviewed Original ResearchConceptsHypochondriacal patientsMedical morbidityMedical recordsSelf-report questionnairesAggregate medical morbidityComparison groupGeneral medical clinicPatients' medical recordsYears of ageConsecutive patientsPossible confounding influenceStudy groupMedical statusAxis IPsychiatric disordersCutoff levelPatientsOverall healthMedical clinicsHypochondriacal groupGlobal assessmentHypochondriacal attitudesHypochondriasisResearch batteryMorbidity
1987
Residents' attitudes, knowledge, and behavior regarding diagnosis and treatment of alcoholism
Warburg M, Cleary P, Rohman M, Barnes H, Aronson M, Delbanco T. Residents' attitudes, knowledge, and behavior regarding diagnosis and treatment of alcoholism. Academic Medicine 1987, 62: 497-503. PMID: 3599038, DOI: 10.1097/00001888-198706000-00007.Peer-Reviewed Original ResearchConceptsPractice behaviorsClinical experiencePrevalence of alcoholismTreatment of alcoholismPhysician practice behaviorSenior medical residentsRelevant clinical experienceAlcoholic patientsAlcoholism therapyTraining hospitalsResidents' estimatesPatientsPhysician practicesAlcoholismMedical residentsHarvard Medical SchoolImportant predictorAlcoholicsSignificant relationshipMedical schoolsHospitalTherapyNegative attitudesPrevalenceDiagnosis